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Re: Benzo Dilemma--What's the Deal?

Posted by michael on March 11, 2003, at 13:21:38

In reply to Benzo Dilemma--What's the Deal?, posted by methinks on March 11, 2003, at 12:46:43

> Greetings all,
> I have lurked here for some time and finally decided to post. I am male, 51, and have a long history of depression and anxiety. I have taken numerous antidepressants over the years, but have eventually quit all of them due to intolerable side effects. I am currently taking Sam-e 400 mg/day and Ativan 1 mg/twice a day and have been doing well. However, I now cannot find a doctor (I have seen three general practitioners and one psychiatrist) who will prescribe the Ativan long term because it is a controlled substance and potentially addictive. They want to put me on Paxil or another SSRI which for me result in sexual dysfunction.
> In the year or so that I have been reading posts here I have come across several posters who seem to be taking Ativan and other benzos on a long term basis, apparently successfully. I am wondering what one has to do to be prescribed Ativan long term? I live in Florida. Is the Controlled Substance Act somehow more strict here (due to state laws) than in other states? All this expensive doctor shopping and the threat of not being able to get a beneficial, affordable medication has significantly increased my anxiety which will soon drive me back into depression! Thanks to all who respond.

My guess (just a guess) is you'll have more luck w/pdoc's... they'd be more likely to have experience prescribing benzo's on a long term basis, than a gp (and therefore be more comfortable with the concept)?

When looking for a new pdoc, "interview" them - have some questions that you want to ask. Among them - "Have you had success treating anxiety with benzos...?" (or something to that effect).

From his response, you can get a feel as to whether of not he's an anti-benzo doc, or if he's comfortable with them.

You can add that you have anxiety & depression, and have been successfullly treating it with ativan & sam-e - and that you would like to continue with this regimen. Particularly given that you suffer unacceptable side effects from the ssri's...

No great insights here, but at least an idea or two...? good luck.





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